Table 4

Standardised mortality ratios (US population referent) and rate ratios for select outcomes* by employment duration (lagged 10 years)

Underlying cause (ICD-10 codes)Employment duration (years)Trend slope†, p Value
0–<1010–<2020–<3030+
ObsSMR (95% CI)ObsSMR (95% CI)ObsSMR (95% CI)ObsSMR (95% CI)
SRR (95% CI)SRR (95% CI)SRR (95% CI)SRR (95% CI)
MN oesophagus (C15)131.17 (0.62 to 2.00)281.72 (1.14 to 2.48)531.40 (1.05 to 1.83)191.18 (0.71 to 1.84)
(Reference)2.43 (1.07 to 5.50)1.17 (0.56 to 2.41)0.60 (0.27 to 1.35)−2.14×10−6, 0.141
MN stomach (C16)120.80 (0.41 to 1.40)180.92 (0.54 to 1.45)471.07 (0.79 to 1.43)331.53 (1.06 to 2.15)
(Reference)0.33 (0.08 to 1.43)0.39 (0.10 to 1.55)0.40 (0.10 to 1.58)3.06×10−7, 0.822
MN intestine (C17-C18)270.86 (0.57 to 1.26)521.27 (0.95 to 1.67)1711.42 (1.22 to 1.65)761.28 (1.01 to 1.60)
(Reference)1.16 (0.38 to 3.54)0.62 (0.27 to 1.44)0.40 (0.17 to 0.94)−7.54×10−6, <0.001
MN rectum (C19-C21)131.48 (0.79 to 2.54)191.58 (0.95 to 2.46)371.35 (0.95 to 1.86)201.52 (0.93 to 2.34)
(Reference)0.99 (0.33 to 2.97)0.61 (0.24 to 1.52)0.43 (0.16 to 1.14)−1.61×10−6, 0.001
MN lung (C33-C34)1231.02 (0.85 to 1.22)1841.03 (0.88 to 1.19)5231.14 (1.05 to 1.24)2161.12 (0.98 to 1.28)
(Reference)1.32 (0.97 to 1.80)1.24 (0.91 to 1.68)0.80 (0.59 to 1.08)−8.83×10−6, 0.216
MN prostate (C61)241.39 (0.89 to 2.07)231.08 (0.68 to 1.62)1481.10 (0.93 to 1.29)871.01 (0.81 to 1.25)
(Reference)0.66 (0.31 to 1.41)0.84 (0.47 to 1.50)0.69 (0.39 to 1.22)−2.03×10−6, 0.192
MN kidney (C64-C66)121.10 (0.57 to 1.92)181.24 (0.73 to 1.95)471.43 (1.05 to 1.90)171.19 (0.69 to 1.91)
(Reference)0.61 (0.26 to 1.48)1.25 (0.58 to 2.69)0.70 (0.29 to 1.67)−1.05×10−7, 0.924
MN bladder and other urinary (C67-C68)81.05 (0.45 to 2.08)70.65 (0.26 to 1.34)461.08 (0.79 to 1.45)230.94 (0.60 to 1.41)
(Reference)0.25 (0.08 to 0.79)1.15 (0.49 to 2.70)1.03 (0.38 to 2.83)2.58×10−6, 0.258
MN brain and other nervous (C47, C70-C72)120.65 (0.34 to 1.13)150.88 (0.49 to 1.46)321.17 (0.80 to 1.65)141.47 (0.80 to 2.46)
(Reference)0.80 (0.30 to 2.19)1.48 (0.60 to 3.68)1.52 (0.53 to 4.34)1.01×10−6, 0.118
NHL (C46.3, C82-C85, C88.0, C88.3, C91.4, C96)180.98 (0.58 to 1.55)90.51 (0.23 to 0.96)631.35 (1.04 to 1.73)331.47 (1.01 to 2.06)
(Reference)1.18 (0.41 to 3.45)1.15 (0.60 to 2.22)1.04 (0.51 to 2.15)−7.39×10−8, 0.849
Leukaemia (C91.0-C91.3, C91.5-C91.9, C92-C95)180.91 (0.54 to 1.44)231.36 (0.86 to 2.05)541.11 (0.83 to 1.45)271.06 (0.70 to 1.54)
(Reference)2.24 (0.92 to 5.50)1.36 (0.65 to 2.87)1.13 (0.48 to 2.67)−5.10×10−9, 0.997
Multiple myeloma (C88.7, C88.9, C90)50.84 (0.27 to 1.96)<50.52 (0.14 to 1.34)220.97 (0.61 to 1.47)110.99 (0.49 to 1.77)
(Reference)0.56 (0.11 to 2.82)1.59 (0.47 to 5.41)1.25 (0.33 to 4.75)5.27×10−7, 0.407
COPD (J40-J44)330.78 (0.54 to 1.10)380.69 (0.49 to 0.94)1850.70 (0.60 to 0.81)1110.75 (0.62 to 0.91)
(Reference)1.07 (0.60 to 1.91)1.03 (0.67 to 1.60)0.83 (0.53 to 1.31)−2.80×10−6, 0.005
  • *Excluding a priori causes with total observations <20.

  • †Cause-specific deaths per year of employment-person-year.

  • COPD, chronic obstructive pulmonary disease; ICD-10, International Classification of Diseases, 10th Revision; MN, malignancy; NHL, non-Hodgkin lymphoma; Obs, observed; SMR, standardised mortality ratio; SRR, standardised rate ratio.